Japanese Journal of Gastroenterology最新文献

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[A case in which endoscopic ultrasound-guided transrectal drainage was effective for pelvic abscess]. [内窥镜超声引导下经直肠引流术有效治疗盆腔脓肿的病例]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.598
Naoto Sekiguchi, Manami Ikeuchi, Naoki Tanimoto, Katsutoshi Nabeshima, Hiroshi Ogawa, Hiroaki Sawai, Saori Kakuyama, Tatsuya Osuga
{"title":"[A case in which endoscopic ultrasound-guided transrectal drainage was effective for pelvic abscess].","authors":"Naoto Sekiguchi, Manami Ikeuchi, Naoki Tanimoto, Katsutoshi Nabeshima, Hiroshi Ogawa, Hiroaki Sawai, Saori Kakuyama, Tatsuya Osuga","doi":"10.11405/nisshoshi.121.598","DOIUrl":"10.11405/nisshoshi.121.598","url":null,"abstract":"<p><p>The patient, a 33-year-old female, presented to her local doctor with lower abdominal pain. She was referred to our hospital for a plain CT scan, which revealed signs of ileitis. Because acute appendicitis could not be ruled out, the patient was hospitalized. On the third day of hospitalization, she underwent laparoscopic appendicectomy for perforated appendicitis. However, the inflammatory response persisted despite continued antibacterial treatment; we diagnosed this to be due to the formation of a postoperative residual abscess. Since drainage of the abscess was deemed necessary, the patient underwent EUS-guided transrectal drainage on the 26th day of hospitalization. The patient had a favorable postoperative course and was discharged on the 31st day of hospitalization. Along with some literature review, this report details a case in which transrectal drainage under ultrasound endoscopy was effective in treating a pelvic abscess. We report a case of a pelvic abscess that was drained through the rectum under EUS guidance and an internal and external fistula tube was placed. The abscess resolved without complications.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 7","pages":"598-604"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Endoscopic anti-reflux therapy (EARTh) for gastroesophageal reflux disease]. [胃食管反流病的内窥镜抗反流疗法(EARTh)]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.112
Haruhiro Inoue
{"title":"[Endoscopic anti-reflux therapy (EARTh) for gastroesophageal reflux disease].","authors":"Haruhiro Inoue","doi":"10.11405/nisshoshi.121.112","DOIUrl":"10.11405/nisshoshi.121.112","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 2","pages":"112-116"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.161
{"title":"","authors":"","doi":"10.11405/nisshoshi.121.161","DOIUrl":"10.11405/nisshoshi.121.161","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 3","pages":"161-166"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A case of hepatic portal venous gas and upper gastrointestinal mucosal injury due to accidental ingestion of hydrogen peroxide]. [误食双氧水导致肝门静脉积气和上消化道黏膜损伤的病例]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.230
Sen Yagi, Hidehiro Murakami, Junichirou Tamai, Kazuki Murakami, Makoto Satou, Yuuya Miyamoto, Fumi Umeoka, Shunji Okita, Hiroaki Miyaoka
{"title":"[A case of hepatic portal venous gas and upper gastrointestinal mucosal injury due to accidental ingestion of hydrogen peroxide].","authors":"Sen Yagi, Hidehiro Murakami, Junichirou Tamai, Kazuki Murakami, Makoto Satou, Yuuya Miyamoto, Fumi Umeoka, Shunji Okita, Hiroaki Miyaoka","doi":"10.11405/nisshoshi.121.230","DOIUrl":"10.11405/nisshoshi.121.230","url":null,"abstract":"<p><p>A 40-year-old woman was admitted to our hospital by ambulance due to accidental ingestion of 100ml of 35% hydrogen peroxide. Although the patient suffered from frequent vomiting, abdominal distension, and abdominal pain, signs of peritonitis were not observed. An abdominal computed tomography examination demonstrated obvious gas images in the gastric wall and intrahepatic portal veins. Upper gastrointestinal endoscopy revealed mucosal redness, swelling, and erosion from the lower part of the esophagus to the duodenum. Portal venous gas and upper gastrointestinal mucosal injury due to accidental hydrogen peroxide ingestion were suspected. As the vital signs were stable and there were no signs peritoneal irritation or neurological symptoms, she was treated medically with vonoprazan, rebamipide, and sodium alginate. The next day, abdominal symptoms immediately improved and 3 days later, hepatic portal venous gas had disappeared on ultrasonography. She was discharged on the 5th day after admission. Two months later, upper gastrointestinal endoscopy showed improvement in inflammatory findings. We report a remarkable case of hepatic portal venous gas and upper gastrointestinal mucosal injury and elucidate the endoscopic findings associated with hydrogen peroxide ingestion.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 3","pages":"230-236"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A case of liver abscess with meningitis and endophthalmitis: invasive liver abscess syndrome]. [一例肝脓肿合并脑膜炎和眼内炎:侵袭性肝脓肿综合征]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.237
Kazuya Mizuta, Futa Koga, Yuka Kawazoe, Kenichiro Murayama, Shunya Nakashita, Noriko Oza
{"title":"[A case of liver abscess with meningitis and endophthalmitis: invasive liver abscess syndrome].","authors":"Kazuya Mizuta, Futa Koga, Yuka Kawazoe, Kenichiro Murayama, Shunya Nakashita, Noriko Oza","doi":"10.11405/nisshoshi.121.237","DOIUrl":"10.11405/nisshoshi.121.237","url":null,"abstract":"<p><p>A woman in her 70s was hospitalized and was diagnosed with liver abscess and managed with antibiotics in a previous hospital. However, she experienced altered consciousness and neck stiffness during treatment. She was then referred to our hospital. On investigation, we found that she had meningitis and right endophthalmitis concurrent with a liver abscess. Klebsiella pneumoniae was detected from both cultures of the liver abscess and effusion from the cornea. A string test showed a positive result. Therefore, she was diagnosed with invasive liver abscess syndrome. Although she recovered from the liver abscess and meningitis through empiric antibiotic treatment, her right eye required ophthalmectomy. In cases where a liver abscess presents with extrahepatic complications, such as meningitis and endophthalmitis, the possibility of invasive liver abscess syndrome should be considered, which is caused by a hypervirulent K. pneumoniae.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 3","pages":"237-244"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Interventional radiology for the treatment of portal hypertension]. [介入放射学治疗门静脉高压症]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.371
Tsuyoshi Ishikawa, Taro Takami
{"title":"[Interventional radiology for the treatment of portal hypertension].","authors":"Tsuyoshi Ishikawa, Taro Takami","doi":"10.11405/nisshoshi.121.371","DOIUrl":"10.11405/nisshoshi.121.371","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 5","pages":"371-381"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Monitoring disease activity with biomarkers in Crohn's disease]. [用生物标志物监测克罗恩病的疾病活动]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.535
Ken Takeuchi
{"title":"[Monitoring disease activity with biomarkers in Crohn's disease].","authors":"Ken Takeuchi","doi":"10.11405/nisshoshi.121.535","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.535","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 7","pages":"535-541"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Autoimmune hepatitis developed after COVID-19 vaccination and ameliorated temporarily but relapsed or stopped improving, and finally resolved by steroid therapy:a report of three cases]. [接种 COVID-19 疫苗后出现自身免疫性肝炎,病情暂时好转,但复发或不再好转,最后通过类固醇治疗缓解:三例病例报告]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.695
Yuki Tamura, Ken Sato, Atsushi Naganuma, Tatsuma Murakami, Kaho Honda, Shuichi Saito, Junko Hirato, Akira Ogawa, Hayato Ikota, Satoru Kakizaki, Toshio Uraoka
{"title":"[Autoimmune hepatitis developed after COVID-19 vaccination and ameliorated temporarily but relapsed or stopped improving, and finally resolved by steroid therapy:a report of three cases].","authors":"Yuki Tamura, Ken Sato, Atsushi Naganuma, Tatsuma Murakami, Kaho Honda, Shuichi Saito, Junko Hirato, Akira Ogawa, Hayato Ikota, Satoru Kakizaki, Toshio Uraoka","doi":"10.11405/nisshoshi.121.695","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.695","url":null,"abstract":"<p><p>The severe acute respiratory syndrome coronavirus 2 vaccine has contributed to infection control and the prevention of complications due to coronavirus disease 2019 (COVID-19). Conversely, the COVID-19 vaccine has been associated with adverse effects due to liver injury caused by autoimmunity or drugs. To date, Japanese journals have only published five reports of autoimmune liver damage associated with the COVID-19 vaccination. Although the pathogenic mechanism has not yet been fully elucidated, corticosteroids or azathioprine have shown effectiveness in certain patients. However, there have been cases of liver injury resulting in deaths. Here, we encountered three patients who developed autoimmune hepatitis (AIH) within 10 days following vaccination. All three patients were treated with prednisolone (PSL) and achieved remission. However, the serum alanine aminotransferase levels in all cases were observed to either increase or cease to improve during the therapeutic course before PSL administration. It is therefore imperative to closely monitor liver injury after the COVID-19 vaccination. In cases where AIH is suspected and a recurrence of liver dysfunction occurs, PSL may be administered. Future considerations should not only encompass the underlying mechanism by which autoimmunity contributes to the development of liver injury following COVID-19 vaccination but also the optimal treatment period for PSL and the long-term prognosis of AIH after COVID-19 vaccination.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 8","pages":"695-706"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A case of inflammatory myofibroblastic tumor with rapidly progressive growth arising from the retroperitoneum]. [腹膜后迅速生长的炎性肌纤维母细胞瘤病例]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.63
Tomonori Iida, Satoshi Yamazaki
{"title":"[A case of inflammatory myofibroblastic tumor with rapidly progressive growth arising from the retroperitoneum].","authors":"Tomonori Iida, Satoshi Yamazaki","doi":"10.11405/nisshoshi.121.63","DOIUrl":"10.11405/nisshoshi.121.63","url":null,"abstract":"<p><p>A woman in her 70s was admitted to our institution with complaints of right hypochondrium pain. Abdominal computed tomography revealed a 13-mm retroperitoneal tumor between the liver and right kidney. The tumor rapidly increased to 82mm within 2 months, a necrotic change was inside the tumor, and the inflammation spread to the surrounding diaphragm and the peritoneum. The patient underwent surgical resection including the affected diaphragm and the peritoneum. Histopathological examination revealed a myofibroblastic spindle-cell proliferation with prominent infiltration of inflammatory cells, such as the plasma cells, lymphocytes, neutrophils, and eosinophils, diagnosed as an inflammatory myofibroblastic tumor (IMT) based on positive smooth muscle actin staining. IMT arising from the retroperitoneum is a rare case in Japan;we report this case with literature review.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Endoscopic biliary drainage for biliary stricture]. [内镜胆道引流术治疗胆道狭窄]。
Japanese Journal of Gastroenterology Pub Date : 2024-01-01 DOI: 10.11405/nisshoshi.121.275
Hirotoshi Ishiwatari, Junya Sato, Hiroki Sakamoto
{"title":"[Endoscopic biliary drainage for biliary stricture].","authors":"Hirotoshi Ishiwatari, Junya Sato, Hiroki Sakamoto","doi":"10.11405/nisshoshi.121.275","DOIUrl":"https://doi.org/10.11405/nisshoshi.121.275","url":null,"abstract":"","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 4","pages":"275-286"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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